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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received• �? (� `, j <br /> Phone Contact for Permitting (� <br /> Owner's Name f3 \U_ '� Owner Phone Number <br /> Owner's Address \ZY o\w t-e. ow— Owner Phone Number <br /> Owner Phone Number <br /> F_ <br /> JOB ADDRESS 5�D� LOT# <br /> SUBDIVISION , V PARCEL ID# 1 �(� 1 -0 �V a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL /�Q\ �Q.� ` '� <br /> 1111 <br /> DESCRIPTION OF WORK -P �}��� \ ,L C 111 �t u3 i \ � y <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT ('l <br /> BUILDING $ �`-� VALUATION OF TOTAL CONSTRUCTION C)o <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ` n� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address �- �/ —V-)C(�*_Ci1Jk1License# <br /> ELECTRICIAN COMPANY 77:1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. - <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy.of contract're'qui'red)`.-' <br /> Reroofs if shingles Sewers Service Upgrades A/C "'' Fences.(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs:ROW <br />